Jay Paul Jacobs II, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME83993 Issued in FL

Practice address

322 Mansfield H
Century Village
Boca Raton, FL 33434-2424

Phone

(561) 236-8524

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Glades Primary Care LLC

  • Internal Medicine Physician
  • Belle Glade, FL
  • NPI 1386820942
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1285747733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 MANSFIELD H",
            "address_2": "CENTURY VILLAGE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342424",
            "telephone_number": "561-236-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MANSFIELD H",
            "address_2": "CENTURY VILLAGE",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334342424",
            "telephone_number": "561-236-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JAY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Anitha Jacob, DMD
• Adam Jacobs, DO
• Austin Alexander Jacobs, D.O.
• Dana Leigh Jacobs, MD
• Janice Lyons Jacobs, PH.D.
• Jennifer J Jacobs, CRNA
• Jerrold Alan Jacobs
• Leonard Jacobs, D.D.S.
• Meghan Kelly Jacobs, PSY.D.
• Patricia Weiss Jacobs, MD

• Family Medicine Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.